Eric Anderson
Individual provider Active NPI Family Medicine Physician · Clay Center, KS
NPI 1053805887 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1053805887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-43746 (KS)
- Practice address
- 609 Liberty St
Clay Center, KS 67432-1564 - Phone
- (785) 632-2144
- NPI assigned
- Jun 15, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clay County Medical Center
Practice addresses (Care Compare)
609 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2181
Hospital & facility affiliations
- Accessible Home Care, LLC
- Meadowlark Hospice
- Clay County Medical Center
- Cloud County Health Center
- Mitchell County Hospital Health Systems
- Salina Regional Health Center
- Ascension Via Christi Hospital Manhattan, Inc
- The Nicol Home
- Clay Center Presbyterian Manor
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| The Nicol Home |
Skilled nursing facility | Adp of the SNF | Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210623002141 | KS | Practitioner - Family Practice | 8527311836 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay County Medical Center | Family Medicine | Current | Accepting new patients |
| Clay County Medical Center | Current |
Accepting new patients | |
| Clay County Medical Center | Current |
Accepting new patients | |
| Clay County Medical Center | Current | Accepting new patients | |
| Clay County Medical Center | Family Medicine | Past | Accepting new patients |
Locations
617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144
609 Liberty St
Clay Center, KS 67432
Phone (785) 632-2181
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/85e4e207-a7a6-47a1-8e35-8e04fe8019c4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-09622 | KS | |
| Family Medicine Physician | 207Q00000X | 04-43746 | KS | Yes |
Addresses
Primary practice location
609 Liberty St
Clay Center, KS 67432-1564
Mailing address
609 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2144
Other providers in Clay Center, KS
- Associates in Primary Care, Inc.
- Brenda D Bohnenblust
- Yana Bowen
- Tony Brown
- Clay Center Family Dental Care
All providers in Clay Center, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.